Individual
MS. SHANNON MCKALA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 BAILEE WAY SW, JACKSONVILLE, AL 36265-3318
(256) 490-6980
Mailing address
1486 BAILEE WAY SW, JACKSONVILLE, AL 36265-3318
(256) 490-6980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3068
AL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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